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Degloving injury

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https://www.readbyqxmd.com/read/27887784/endoscopic-debridement-and-fibrin-glue-injection-of-a-chronic-morel-lavall%C3%A3-e-lesion-of-the-knee-in-a-professional-soccer-player-a-case-report-and-literature-review
#1
Baris B Koc, Nicolaas Somorjai, Egid P M Kiesouw, Kurt Vanderdood, Marleen Meesters-Caberg, Frits W Draijer, Edwin J P Jansen
A Morel-Lavallée lesion is a post-traumatic closed degloving injury of soft tissue. The lesion is due to a shearing trauma with separation of subcutaneous tissue from underlying fascia. When conservative treatment fails, surgical treatment is imperative. Commonly, open drainage and debridement is performed. This case report describes a Morel-Lavallée lesion of the knee in a professional soccer player who was successfully treated with endoscopic debridement and fibrin glue injection after failure of conservative management...
November 22, 2016: Knee
https://www.readbyqxmd.com/read/27861132/chronic-morel-lavall%C3%A3-e-lesion-a-novel-minimally-invasive-method-of-treatment
#2
Ramireddy Mettu, Harsha Vardhan Surath, Hanumantha Rao Chayam, Amaranth Surath
A Morel-Lavallée lesion is a closed internal degloving injury resulting from a shearing force applied to the skin. The etiology of this condition may be motor vehicle accidents, falls, contact sports (ie, football, wrestling),1 and iatrogenic after mammoplasty or abdominal liposuction.2 Common sites of the lesions include the pelvis and/or thigh.3 Isolated Morel-Lavallée lesions without underlying fracture are likely to be missed, which result in chronicity. Management of this condition often requires extensive surgical procedures such as debridement, sclerotherapy, serial percutaneous drainage, negative pressure wound therapy (NPWT), and skin grafting...
November 2016: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/27792895/a-case-report-of-a-complete-degloving-injury-of-the-penile-skin
#3
Helena Aineskog, Fredrik Huss
INTRODUCTION: Male genital degloving injuries are unusual and rarely caused by animal bite. Usually patients attend health care immediately if bitten in the genital area. Prophylactic antibiotics is routinely used (Gomes et al., 2000). A penile degloving usually begins just proximal of the coronal line and progress down to the base of the shaft. Deep erectile tissue and the spermatic cord are seldom damaged and the endogenous skin of glans usually survives (Brown and Fryer, 1957; Morey et al...
October 15, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27788928/primary-reattachment-of-avulsed-skin-flaps-with-negative-pressure-wound-therapy-in-degloving-injuries-of-the-lower-extremity
#4
G Sakai, T Suzuki, T Hishikawa, Y Shirai, T Kurozumi, M Shindo
Large avulsed skin flaps of the lower extremity caused by degloving injuries eventually develop skin necrosis in most cases. The current treatment option involves excision of the degloved skin and reapplication as a full- or split-thickness skin graft. We considered that reattachment of avulsed skin flaps without excision would be theoretically beneficial, since some circulation may remain around the connected pedicle and thus facilitate graft take. Furthermore, securing the skin to the original anatomic position is much easier using retained landmarks...
October 22, 2016: Injury
https://www.readbyqxmd.com/read/27770192/reconstruction-of-totally-degloved-fingers-a-novel-application-of-the-bilobed-spiraled-innervated-radial-artery-superficial-palmar-branch-perforator-flap-design-provides-for-primary-donor-site-closure
#5
Zhenglin Chi, Peng Yang, Dajiang Song, Zan Li, Liang Tang, Weiyang Gao, Yonghuan Song, Tingang Chu
INTRODUCTION: To investigate the results of resurfacing completely degloved digits using bilobed innervated radial artery superficial palmar branch (RASPB) perforator flap in a spiral fashion. METHODS: A detailed anatomic study on 30 adult fresh frozen cadavers preinjected with silicone rubber compound to demarcate arterial anatomy documented locations, numbers, and diameters of arteries and skin perforators with surrounding nerves. The flap-raising procedure was performed using four fresh cadaver specimen...
October 21, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27763946/surgical-reconstruction-of-lower-face-degloving
#6
Paulo Esteves Pinto Faria, Abrahão Cavalcante Gomes de Souza Carvalho, Bárbara Masalskas, Letícia Chihara, Eduardo Sant'Ana, Osvaldo Magro Filho
One of the most impressive soft tissue injuries is the facial degloving, normally associated with industrial machines and traffic accidents. This injury is characterized by the separation of the skin and cartilage from the bones, compromising the soft tissues correlated in the trauma area, nerves, and blood vessels. A 28-year-old patient, male, was referred to Araçatuba's Santa Casa Hospital, after a motorcycle accident, hitting his face on the sidewalk. The patient was conscious, oriented, denying fainting and unconsciousness during the accident, and complaining of pain in the nasal region of the face...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27761187/delayed-presentation-of-a-chronic-morel-lavall%C3%A3-e-lesion
#7
David Christian, Hyuma A Leland, Walter Osias, Seth Eberlin, Lori Howell
Morel-Lavellée lesions are soft tissue degloving injuries resulting from shearing trauma that induces separation of the superficial and deep fascias creating a potential space that becomes filled with hemolymph. Here we present a case of a 28-year-old male presenting with a persistent Type I Morel-Lavallée lesion 2.5 years after an automobile versus pedestrian accident. These lesions can be visualized via computed tomography, plain film and ultrasound, but magnetic resonance imaging is the modality of choice for their identification and characterization...
July 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/27751528/expanded-screening-criteria-for-blunt-cerebrovascular-injury-a-bigger-impact-than-anticipated
#8
Andrea E Geddes, Clay Cothren Burlew, Amy E Wagenaar, Walter L Biffl, Jeffrey L Johnson, Fredric M Pieracci, Eric M Campion, Ernest E Moore
BACKGROUND: We implemented expanded screening criteria for blunt cerebrovascular injuries (BCVIs) in an attempt to capture the remaining 20% of patients not historically identified with earlier protocols. We hypothesized that these expanded criteria would capture the additional 20% of BCVI patients not previously identified. METHODS: Screening criteria for BCVI were expanded in 2011 after identifying new injury patterns. The study population included 4 years prior (2007 to 2010; classic) and following (2011 to 2014; expanded) implementation of expanded criteria...
September 29, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27717838/replantation-or-revascularization-for-the-treatment-of-hand-degloving-injuries
#9
Guangliang Zhang, Jihui Ju, Guangzhe Jin, Linfeng Tang, Yi Fu, Ruixing Hou
PURPOSE: The purpose of this study was to explore effective strategies of replantation or revascularization for the treatment of hand degloving injuries. METHODS: Ten patients who had received replantation or revascularization surgery for hand degloving injury between 2002 and 2014 were included for this study. The average age at the time of surgery was 34.5 years (range 18-49 years). There were nine left and one right hand replantations. The cause of injury was an industrial machine press in all of them...
September 19, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27676750/programmed-amputation-on-a-teenager-what-kind-of-preparation-for-what-outcome
#10
Marion Prigent, Sylvain Brochard, Mathias Thepaut, Christian Lefèvre, Dominique Le Nen, Thierry Cornic, Marie-Thérèse Cariou, Catherine Le Rouzic, Phlippe Le Moine, Christelle Pons, Laetitia Houx
OBJECTIVE: Traumatic lower limb amputation is rare in pediatric population, and surgeons always try limb salvage. But rarely, later amputation occurred when the traumatic limb is painful. It is a difficult and irreversible decision needed a multidisciplinary approach. We report how we managed a programmed trans-tibial amputation on 13-years-old boy, 20 months after a foot trauma. OBSERVATIONS: Our patient is an adolescent victim of a left foot crash. The first checkup showed a degloving injury, dislocation of the interphalangeal joints and of all toes...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27640142/the-comparison-of-edema-and-ecchymosis-after-piezoelectric-and-conventional-osteotomy-in-rhinoplasty
#11
Ümit Taşkın, Timur Batmaz, Mehmet Erdil, Salih Aydın, Kadir Yücebaş
The basic aim of our study is to compare the results of the conventional and piezoelectric osteotomy in rhinoplasty by complete subperiosteal degloving of nasal bone to minimize soft-tissue injury. The study was designed as a prospective, double-blind, randomized, and controlled study. Setting is a tertiary referral hospital in Turkey. Ninety patients who underwent primary open rhinoplasty with osteotomy, performed by either the conventional instruments or the piezoelectric device. The complete subperiosteal degloving of the entire nasal bone was done up to the nasal maxillary sulcus, medial canthus, and nasion in all patients, independent of the type of osteotomy device used...
September 17, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27579812/the-morel-lavall%C3%A3-e-lesion-diagnosis-and-management
#12
John A Scolaro, Tom Chao, David P Zamorano
The Morel-Lavallée lesion is a closed soft-tissue degloving injury commonly associated with high-energy trauma. The thigh, hip, and pelvic region are the most commonly affected locations. Timely identification and management of a Morel-Lavallée lesion is crucial because distracting injuries in the polytraumatized patient can result in a missed or delayed diagnosis. Bacterial colonization of these closed soft-tissue injuries has resulted in their association with high rates of perioperative infection. Recently, MRI has been used to characterize and classify these lesions...
October 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27497337/a-rare-case-of-steering-wheel-injury-causing-coronal-plane-pancreatic-lacerations
#13
Takako Sato, Aya Kashiwai, Chisato Ota, Masakatsu Nomura, Kento Tsuboi, Misa Kitagawa, Shuntaro Abe, Hitoshi Tsuchihashi, Koichi Suzuki
The incidence of pancreatic injury after blunt abdominal trauma is extremely low. A timely and accurate diagnosis is important, as a delay could be life-threatening. In this case, a 70-year-old driver crashed a car into a concrete wall at low speed. He was transported to the emergency hospital but died about 9.5h later with the cause of death unknown. An autopsy revealed that his pancreas was lacerated in the coronal plane and there was mesenteric contusion. Cause of death was determined to be blood loss resulting from pancreatic and mesenteric contusion...
July 2016: Legal Medicine
https://www.readbyqxmd.com/read/27496988/case-report-the-casting-motion-to-mobilize-stiffness-technique-for-rehabilitation-after-a-crush-and-degloving-injury-of-the-hand
#14
Robyn Midgley
STUDY DESIGN: Case report. INTRODUCTION: This case report describes the use of the casting motion to mobilize stiffness (CMMS) technique in the management of a crush and degloving injury of the hand. The patient was unable to attend multiple hand therapy sessions due to geographic constraints. The CMMS technique involved the application of a nonremovable plaster of paris cast that selectively immobilizes proximal joints in an ideal position while constraining distal joints to direct desired motion over a long period...
July 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/27493817/morel-lavall%C3%A3-e-lesion-of-the-knee-in-a-recreational-frisbee-player
#15
Alison Shmerling, Jonathan T Bravman, Morteza Khodaee
Traumatic swelling/effusion in the knee region is a relatively common presenting complaint among athletes and nonathletes. Due to its broad differential diagnosis, a comprehensive evaluation beginning with history and physical examination are recommended. Knee joint effusion can be differentiated from other types of swelling by careful physical examination. Imaging, including plain radiography, ultrasound, and magnetic resonance imaging (MRI), is preferred modality. Aspiration of a local fluctuating mass may help with the diagnosis and management of some of these conditions...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27468300/patterns-and-management-of-degloving-injuries-a-single-national-level-1-trauma-center-experience
#16
Suhail Hakim, Khalid Ahmed, Ayman El-Menyar, Gaby Jabbour, Ruben Peralta, Syed Nabir, Ahammed Mekkodathil, Husham Abdelrahman, Ammar Al-Hassani, Hassan Al-Thani
BACKGROUND: Degloving soft tissue injuries (DSTIs) are serious surgical conditions. We aimed to evaluate the pattern, management and outcome of DSTIs in a single institute. METHODS: A retrospective analysis was performed for patients admitted with DSTIs from 2011to 2013. Presentation, management and outcomes were analyzed according to the type of DSTI. RESULTS: Of 178 DSTI patients, 91 % were males with a mean age of 30.5 ± 12.8. Three-quarter of cases was due to traffic-related injuries...
2016: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/27437310/degloving-injury-of-bowel-an-unheard-complication-of-surgical-abortion
#17
Sonia Chawla, Sandhya Jain, Amita Suneja, Kiran Guleria
Unsafe abortion is one of the leading causes of maternal mortality. Various types of intestinal injury in form of haematoma, perforation, contusion and transection have been reported. Degloving injury of intestine is one of the rarest complications. We report a case of 32-year-old lady Gravida 4, para 3 admitted with history of induced surgical abortion by a quack with degloving injury to bowel. Though there was no fecal soiling of peritoneal cavity but large segment of bowel was lost. She was managed by end ileostomy and discharged in stable condition...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27435850/morel-lavallee-seroma-post-traumatic-pseudocyst-of-back-a-rarity-with-management-conundrum
#18
Anshuman Singh, Akshay Anand, Sanchit Mittal, Abhinav Arun Sonkar
Morel-Lavallee seroma (MLS) or post-traumatic pseudocyst is a soft tissue seroma developing due to closed degloving injury by a shearing force that causes separation of subcutaneous fatty layer from the deeper muscular fascia resulting in collection of fluid in the created space. Presentation is usually fluctuant swelling following history of injury. More frequently described in orthopaedic literature, it occurs more commonly over gluteal and trochanteric regions, knee and flanks with occurrence over back, thorax being a rare entity...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27364279/characterization-and-comparison-of-injuries-caused-by-accidental-and-non-accidental-blunt-force-trauma-in-dogs-and-cats
#19
Nida P Intarapanich, Emily C McCobb, Robert W Reisman, Elizabeth A Rozanski, Pichai P Intarapanich
Motor vehicle accidents (MVA) are often difficult to distinguish from non-accidental injury (NAI). This retrospective case-control study compared animals with known MVA trauma against those with known NAI. Medical records of 426 dogs and cats treated after MVA and 50 after NAI were evaluated. Injuries significantly associated with MVA were pelvic fractures, pneumothorax, pulmonary contusion, abrasions, and degloving wounds. Injuries associated with NAI were fractures of the skull, teeth, vertebrae, and ribs, scleral hemorrhage, damage to claws, and evidence of older fractures...
July 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27348647/modified-great-toe-wraparound-flap-with-preservation-of-plantar-triangular-flap-for-reconstruction-of-degloving-injuries-of-the-thumb-and-fingers-long-term-follow-up
#20
Xiao Fang Shen, Jing Yi Mi, Ming Yu Xue, Gang Zhao, Li Qiang, Xiao Zhou, Yong Jun Rui, Harvey Chim
BACKGROUND: The purpose of this article is to report the authors' experience with the use of the modified great toe wraparound flap with preservation of a plantar triangular flap for reconstructing degloving injuries of the thumb and fingers. METHODS: Between 2007 and 2012, 31 patients underwent reconstruction with 37 flaps. Twenty-seven patients underwent reconstruction with 31 flaps for a degloved thumb and fingers, and four patients underwent reconstruction with six flaps for degloved fingers only...
July 2016: Plastic and Reconstructive Surgery
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